Provider Demographics
NPI:1447062807
Name:SCHNECK, MEGAN E (LAC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:SCHNECK
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2643 N 111TH ST
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-1207
Mailing Address - Country:US
Mailing Address - Phone:414-530-9448
Mailing Address - Fax:
Practice Address - Street 1:2643 N 111TH ST
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-1207
Practice Address - Country:US
Practice Address - Phone:414-530-9448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2050-55171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist